Symptom cyclicity in women with the premenstrual syndrome: An 8-year follow-up study

Metcalf, Mary G.; Braiden, V.; Livesey, J. H.

doi:10.1016/0022-3999(92)90088-j

Cited by 5 publications

(4 citation statements)

References 15 publications

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“…Premenstrual complaints can make their debut at any time after menarche. A common clinical impression is that PMD tends to worsen with age until menopause; this impression has been confirmed by some workers [Harrison et al, 1989a;Merikangas et al, 1993] but not by others [Andersch et al, 1986;Freeman et al, 1995b;Metcalf et al, 1992].…”

Section: Premenstrual Dysphoriamentioning

confidence: 96%

“…A common clinical impression is that PMD tends to worsen with age until menopause; this impression has been confirmed by some workers [Harrison et al, 1989a;Merikangas et al, 1993] but not by others [Andersch et al, 1986;Freeman et al, 1995b;Metcalf et al, 1992]. A common clinical impression is that PMD tends to worsen with age until menopause; this impression has been confirmed by some workers [Harrison et al, 1989a;Merikangas et al, 1993] but not by others [Andersch et al, 1986;Freeman et al, 1995b;Metcalf et al, 1992].…”

Section: Premenstrual Dysphoriamentioning

confidence: 98%

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How does premenstrual dysphoric disorder relate to depression and anxiety disorders?

Landén

Eriksson

2003

Depress. Anxiety

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Premenstrual dysphoric disorder (PMDD) is a severe variant of premenstrual syndrome that afflicts approximately 5% of all women of fertile age. The hallmark of this condition is the surfacing of symptoms during the luteal phase of the menstrual cycle, and the disappearance of symptoms shortly after the onset of menstruation. Whereas many researchers have emphasized the similarities between PMDD and anxiety disorders, and in particular panic disorder, others have suggested that PMDD should be regarded as a variant of depression. Supporting both these notions, the treatment of choice for PMDD, the serotonin reuptake inhibitors (SRIs), is also first line of treatment for depression and for most anxiety disorders. In this review, the relationship between PMDD on the one hand, and anxiety and depression on the other, is being discussed. Our conclusion is that PMDD is neither a variant of depression nor an anxiety disorder, but a distinct diagnostic entity, with irritability and affect lability rather than depressed mood or anxiety as most characteristic features. The clinical profile of SRIs when used for PMDD, including a short onset of action, suggests that this effect is mediated by other serotonergic synapses than the antidepressant and anti-anxiety effects of these drugs. Although we hence suggest that PMDD should be regarded as a distinct entity, it should be emphasized that this disorder does display intriguing similarities with other conditions, and in particular with panic disorder, which should be the subject of further studies. Also, the possibility that there are subtypes of PMDD more closely related to depression, or anxiety disorders, than the most common form of the syndrome, should not be excluded.

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Section: Premenstrual Dysphoriamentioning

confidence: 96%

Section: Premenstrual Dysphoriamentioning

confidence: 98%

How does premenstrual dysphoric disorder relate to depression and anxiety disorders?

Landén

Eriksson

2003

Depress. Anxiety

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“…Treatment discontinuation studies show that women with premenstrual dysphoric disorder have a resurgence of the same symptoms when medication is openly (90, 91) or blindly (92) discontinued. Long-term follow-up studies conducted on two relatively small cohorts found that 8–12 years after initial assessment, menstruating women continued to have premenstrual symptoms (93, 94). For women in whom a diagnosis of premenstrual dysphoric disorder is established and who remain premenopausal, symptoms are likely to continue if they are not treated (95).…”

Section: Addressing Requirements For Diagnostic Categorymentioning

confidence: 99%

Premenstrual Dysphoric Disorder: Evidence for a New Category for DSM-5

Epperson¹,

Steiner²,

Hartlage³

et al. 2012

AJP

274

194

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Premenstrual dysphoric disorder, which affects 2%–5% of premenopausal women, was included in Appendix B of DSM-IV, “Criterion Sets and Axes Provided for Further Study.” Since then, aided by the inclusion of specific and rigorous criteria in DSM-IV, there has been an explosion of research on the epidemiology, phenomenology, pathogenesis, and treatment of the disorder. In 2009, the Mood Disorders Work Group for DSM-5 convened a group of experts to examine the literature on premenstrual dysphoric disorder and provide recommendations regarding the appropriate criteria and placement for the disorder in DSM-5. Based on thorough review and lengthy discussion, the work group proposed that the information on the diagnosis, treatment, and validation of the disorder has matured sufficiently for it to qualify as a full category in DSM-5. A move to the position of category, rather than a criterion set in need of further study, will provide greater legitimacy for the disorder and encourage the growth of evidence-based research, ultimately leading to new treatments.

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“…40 Mais ainda, outros investigadores descreveram que a disforia pré-menstrual permanece estável ao longo do tempo, sugerindo uma independência entre essa condição e transtornos depressivos. 41 A co-morbidade freqüente de transtornos mentais em mulheres com disforia pré-menstrual é um fator complicador no diagnóstico de TDPM. Mais ainda, são várias as evidências de que o período pré-menstrual associa-se com uma maior vulnerabilidade para o agravamento de um transtorno psiquiátrico preexistente.…”

Section: Co-morbidade E Cursounclassified

Associação entre Transtorno Disfórico Pré-menstrual e Transtornos Depressivos

Pires

Calil

1999

Rev. Bras. Psiquiatr.

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O Transtorno Disfórico Pré-menstrual (TDPM) é caracterizado por uma constelação de sintomas emocionais e alterações comportamentais, que se manifesta com um padrão temporal cíclico em associação com o período pré-menstrual. A validade de uma categoria diagnóstica psiquiátrica distinta para TDPM ainda é uma questão controversa. Entretanto, inúmeros estudos têm documentado uma associação específica entre mudanças pré-menstruais e transtornos depressivos. A presente revisão tem como objetivo sintetizar os resultados a respeito da semelhança dos sintomas depressivos no TDPM e nos transtornos depressivos, co-morbidade, história familiar e variáveis biológicas. Evidências de que os sintomas pré-menstruais seriam expressão de vulnerabilidade ao desenvolvimento de estados disfóricos (depressão e ansiedade), assim como as implicações diagnósticas dessa proposta são comentados.
Premenstrual Dysphoric Disorder (PMDD) is characterised by a myriad of emotional symptoms and behavioural alterations, which occur with a cyclic temporal pattern associated with the pre-menstrual period. The validity of an isolated psychiatric diagnostic category for PMDD remains controversial. However, research results have been showing a specific association between pre-menstrual changes and depressive disorder. The present review has as objective to sintethise the results on similarity between depressive symptoms in PMDD and in the depressive disorders, comorbidity, family history and biological variables. Evidences suggesting that the pre-menstrual symptoms would be expression of a vulnerability to the development of dysphoric states (depression and anxiety) as well as diagnostic implications of such proposals are discussed

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Symptom cyclicity in women with the premenstrual syndrome: An 8-year follow-up study

Cited by 5 publications

References 15 publications

How does premenstrual dysphoric disorder relate to depression and anxiety disorders?

How does premenstrual dysphoric disorder relate to depression and anxiety disorders?

Premenstrual Dysphoric Disorder: Evidence for a New Category for DSM-5

Associação entre Transtorno Disfórico Pré-menstrual e Transtornos Depressivos

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